AHA Coding Clinic® for ICD-9 - 1986 March - April; Coding Guidelines

Ruled Out Diagnosis

Do not code a diagnosis qualified as "ruled out." Instead, use the following guidelines: 1. Code the actual condition determined after study, or 2. Use the appropriate code from the V71 category if no other diagnosis is made, or 3. Code the significant sign or symptom that occasioned admission if no actual clinical diagnosis is documented. Examples Patient was found to have an elevated blood sugar level. Further testing was performed with slightly elevated blood fasting and glucose tolerance results but within normal range at this time. The diagnosis was diabetes mellitus, ruled out. The correct code is...

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